Gastric outlet obstruction in chronic granulomatous disease of childhood
J. D. Dickerman, R. B. Colletti and J. P. Tampas
A patient was diagnosed with gastric outlet obstruction (GOO) 17 months
after the neonatal diagnosis of chronic granulomatous disease (CGD).
Gastric outlet obstruction was the first clinical manifestation of CGD in
this patient. Twenty-three percent of the 17 patients with GOO complicating
CGD described in the literature were found to present with GOO before any
other clinical manifestations of CGD. The diagnosis of GOO can be
established by ultrasound and, if necessary, upper gastrointestinal
roentgenogram or gastroscopy. A nonsurgical approach to management is
suggested. The diagnosis of CGD should be considered in an infant or child
who has GOO.
